Information

  • Conducted on

  • Location:OP Or Machine工序或设备
  • Observer观察人员

  • Area

A.Reaction of People人员的反应

  • 1.Adjusting PPE调整个人防护装备

  • 2. Changing Position改变工作位置

  • 3. Rearranging Job重新安排工作

  • 4. Stopping Job停止工作

  • 5. Implementing safety systems 运用防护装备

  • Comments

B.Positions of People 人员的位置

  • 6.Potential for striking against有被物体打击

  • 7.Trapped between 陷入物体之内,之上或之间

  • 8. Falling,slip or trip坠落,滑倒,绊倒,跌倒

  • 9. Contacting with electricity接触电流

  • 10.Inhaling dust /Fumes吸入有害物质

  • 11. Repetitive Motions重复的动作

  • 12. Postures/Lifting/Twisting姿势/举重/扭转

  • Comments

C. Personal Protective Equipment 劳动防护用品

  • 13. Eyes and face眼部及脸

  • 14. Ears 耳部

  • 15. Head 头

  • 16. Hands and arms臂部和手

  • 17. Feet and legs腿部及脚

  • 18. Respiratory system 呼吸系统

  • 19. Appropriate clothing 适当的防护服

  • Comments

D. High Risk Operations 高风险作业

  • 20. Electrical safety & LOTO

  • 21. Mobile equipment safety移动设备安全(Forklift&crane)叉车行车

  • 22.Chemical safety CMR化学品使用

  • 23. Wor at height高处作业

  • 24.Hot work动火作业

E. Tools and Equipment工具和设备

  • 25. Not Right for the job不适合此工作

  • 26. Used incorrectly 未正确使用

  • 27. In unsafe condition所使用的工具或设备状态不良

  • 28. Protection guards Not properly used防护装置无效或者被屏蔽,不使用

  • 29.Vibration & Noise震动&噪音

  • 30. Temperature 温度

  • Comments

F. Procedures程序

  • 31. How to perform HSE5Steps如何执行HSe五步法

  • 32.Workshop have risk or not,need isolation or warning 工作站有无风险,是否警示和隔离

  • 33.Procedures inadequate for job程序不适合此工作

  • 34. Procedures not known / understood 程序不知道/不理解

  • 35. Procedures not followed 程序未被遵守

  • Comments

Safe Acts

  • What safe acts were observed?

  • What actions were taken to encourage safe performance

Unsafe Acts

  • What unsafe acts were observed?

  • What corrective action was taken?

  • What action was taken to prevent further occurance?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.